Baltimore Washington Eye Center, Maryland

Tuesday, August 16, 2011

According a recent publication in the Ophthalmic Plastic and Reconstructive Surgery Journal more and more surgeons are using hyaluronic acid filler injections, like Restylane® and Juvéderm®, to treat the lower eyelid tear troughs. This is proving to be a wonderful alternative to surgery. The injections are very well tolerated by patients and 85% of patients were happy with their treatment. In fact, 95% of the patients in this study tolerated this procedure. By using these fillers, we can treat the tired, hollow under eye look without the pain and expense of surgery. The side effects of the injections are minimal, mainly bruising and swelling and the occasional blue discoloration and lumps. Compare this with the potential risks of surgery, which include significant bruising and swelling, infection, and scarring which can cause the lower eyelids to be pulled down, thereby preventing complete eyelid closure.

In my experience as an Oculofacial Surgeon, I have had excellent results with these fillers under the eyes and I love the fact that I can adjust the dose based on each patient’s need. Both the patient and I can immediately see results and address any concerns at the time of treatment, rather than wait for surgical swelling to resolve. The product itself is moldable, so if I see any areas that don’t look quite right, I can correct them right then and there. If patients have excess skin, then surgery may be a better option.And there are other options like laser ablation to help with the quality and texture of the skin; however, in some cases, these can be painful and very expensive. Nevertheless, for those who want a more youthful appearance without the stress and expense of surgery, fillers like Restylane® and Juvéderm® provide a great alternative.

The full article can be found in Ophthalmic Plastic and Reconstructive Surgery. 2011; 27(2):69-73. Author: Charles Slonim, M.D., F.A.C.S.